Polymastism : with special reference to mammae erraticae and the development of neoplasms from supernumerary mammary structures / by W. Roger Williams.

  • Williams, William Roger, 1854-1948.
Date:
[1891]
Catalogue details

Licence: Public Domain Mark

Credit: Polymastism : with special reference to mammae erraticae and the development of neoplasms from supernumerary mammary structures / by W. Roger Williams. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    child. When suckling, milk escaped from this nipple, as well as from another supernumerary nipple just below and internal to the left breast, though no gland substance could be felt beneath it. A similar case has been recorded by D’Outrepont.1 The patient was a pregnant woman with a tumour the size of a hen’s egg in the left axilla, connected with which was a nipple, whence colostrum escaped. Perreymond 2 has related the case of a woman, aged twenty-seven, who shortly after her second confinement noticed a tumour the size of a pigeon’s egg in the right axilla. It was movable, and not connected with the breast. Over it was a small nipple surrounded by an areola. On pressure milk escaped. The tumour was first noticed about the time of puberty at the age of fourteen. At her first confinement it was taken for an abscess. Six weeks after delivery the secretion ceased, and the tumour diminished in size. These three cases and Neugebauer’s are the only instances known to me of axillary nipple. Champneys3 has related the case of a lying-in woman with a super- numerary gland in each axilla the size of a nutmeg, connected with the normal gland by a narrow pedicle. On pressure, milk escaped from each axillary swelling through a small pore in the overlying skin. Martin,4 Siebold,5 Champion,6 Harris, Dixon,8 and Moore,9 have each of them seen a lying-in woman with a tumour the size of a hen’s egg in both axillae, whence milk exuded on pressure through several small pores in the overlying skin. No nipple was present in either of these cases; nor is mention made of any connection between the axillary tumours and the normal mammae. In a case seen by Cameron,10 a woman aged thirty-three, in her sixth lactation, had a tumour the size of a hen’s egg in the left axilla, from which milk escaped on pressure through a single small pore. She first noticed the swelling after having over-exerted herself in extinguish- ing a fire when she was pregnant with her sixth child. In all her previous confinements she was free from any axillary trouble. It seems probable here, as in Notta’s case, that the tumour was formerly connected with the normal gland by a pedicle, which carried off its secretion per vias naturales. Cohn11 has recorded a precisely similar case, also on the left side. 1 Neue Zcil.f. Geburtsk, &c., Hcrsang von Busch, &c., Bd. ix. (1840), S. 40. 2 L'Union Mid,., 1874, t. 18, p. 864. 3 Op. ait., p. 423. 4 Annal. d'occulist et dc gynicol, t. i. liv. 8. 5 Med. Ztg. v. e. Vereinf. Heilk., in Pr., 1838, No. 6. “ Viet, des Sci. Med., t. xxx. p. 377. 7 Medical Times and Gaz., vol. i., 1861, p. 397. 8 Lancet, vol ii., 1843, p. 844. 9 Lancet, 1838, p, 786. 19 Journal of Anatomy, vol. xiii. (1879), p. 149. “ Berlin Klin. Wochenschrift, 1885, s. 291.